Now that you’ve enrolled in a health plan through NY State of Health, you may have some questions about how to use your health plan coverage. Here are some resources with answers to the questions you may have:
On August 3, 2010, the U.S. Department of Health and Human Services (HHS) issued a request for comments asking states, consumer advocates, employers, insurers, and other interested stakeholders to provide input as HHS develops the rules and standards Exchanges should be required to meet. This request for comments included questions on a variety of topics relating to the Exchanges, such as quality standards, employer participation, eligibility and enrollment, and plan participation. Comments were due to HHS by October 4, 2010.
In 2010, New York received a $1 million award from the U.S. Department of Health and Human Services (HHS) for the first round of funding for the State Planning and Establishment Grants for the Affordable Care Act's Exchanges. The Exchanges will provide a marketplace where individuals, small groups and small businesses can purchase affordable health insurance. This funding the State has received will be used for initial planning activities related to the potential implementation of the Exchanges.
This report provides a health care reform implementation roadmap for New York State,
summarizing the major provisions of the ACA, analyzing their implications unique to the State,
and outlining the key implementation tasks and issues that New York will confront as it begins
In 2010, the NYS Department of Health was awarded $2,300,000 for consumer assistance activities. Funds will be used to facilitate the following goals: •Enhance the capacity of partnering community based organizations (CBO) to strengthen their geographical reach, provide more services and increase helpline capacity •Deepen the CBOs’ presentation skills to educate consumers •Ensure that the CBOs have the capacity to determine the merits of and assist consumers with appeals and grievances •Strengthen technical assistance to CBOs in upstate New York
This report provides a comprehensive profile
of New York’s public and private health
insurance markets. We use the term “market”
to include transactions in which buyers pay
intermediaries to arrange coverage or cover
health care services. Fully insured commercial
health insurance markets are surveyed in
detail. The self-funded market is reviewed as
well, within the limits of available data. State
programs such as Medicaid Managed Care
and Child Health Plus, and federal programs
such as Medicare Advantage and Medicare
Part D, are also profiled.
On July 9, 2012 Governor Cuomo submitted a declaration letter to the Centers for Medicare & Medicaid Services confirming New York's intent to establish a State-based Health Benefit Exchange consistent with the Affordable Care Act. The letter indicates the State's intent to perform advance premium tax credit and cost sharing reduction eligibility determinations and designates Donna Frescatore, who will serve as the Executive Director of the New York Health Benefit Exchange, as the primary point of contact for the State's Exchange Blueprint Application.